Whalio Doctors

NPI 1003246968

L&l Divine Community Services INC

Organisation In Home Supportive Care Agency Jacksonville, FL

Practice location

Address
7605 Lueders Ave, Jacksonville, FL 32208-3443
Phone
(904) 955-2588
Fax
(904) 766-1370
Mailing address
PO Box 77253, Jacksonville, FL 32226-7253

Authorised official

Name
Amanda Murray-Hardeman
Title
Director/Owner
Phone
(904) 955-2588

Registered specialties

In Home Supportive Care Agency Primary
Agencies Taxonomy 253Z00000X Licence 229302 (FL)

Registry record

NPI
1003246968
Entity type
Organization
NPI issued
13 Nov 2013
Record last updated
13 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.